American Journal of Rhinology &Allergy, Ahead of Print. BackgroundPostnasal drip (PND) syndrome is a prevalent complaint encountered in otolaryngology practices. PND may be refractory to medical therapy, and surgical treatments are complicated by side effects.ObjectiveWhile posterior nasal nerve (PNN) ablation has demonstrated efficacy for chronic rhinitis overall, we sought to examine the effect of PNN ablation for patients with PND as their primary complaint.MethodsThis is a retrospective case series study of 40 chronic rhinitis (CR) patients with a primary complaint of PND. Included pat ..read more

American Journal of Rhinology &Allergy, Ahead of Print. BackgroundInhalant allergens provide a source of environmental factors that contribute to the development of clinical symptoms in patients with atopic dermatitis (AD).ObjectiveTo review the relationship between inhalant allergens and AD.MethodsA literature review was conducted using three databases: PubMed/MEDLINE, ClinicalKey, and Web of Science. Search terms, including “atopic dermatitis,” “atopic eczema,” and “eczema,” were used in combination with “inhalant allergen,” “inhaled allergen,” and “aeroallergen” to identify relevant pub ..read more

American Journal of Rhinology &Allergy, Ahead of Print. BackgroundEnvironmental exposures have been postulated to play an important role in the pathophysiology of chronic rhinosinusitis (CRS). Particulate matter (PM) is one of the most widely studied ambient air pollutants, but its peri-operative impact on CRS is unknown.ObjectiveTo determine the effect of acute, peri-operative PM exposure on outcomes after endoscopic sinus surgery (ESS).MethodsParticipants with CRS who self-selected ESS were prospectively enrolled. The 22-item SinoNasal Outcome Test (SNOT-22) and Medical Outcomes Study Qu ..read more

American Journal of Rhinology &Allergy, Ahead of Print. BackgroundThe goals of this study were to understand the trends in recent and past rhinology fellows concerning their demographics, goals, and experiences.MethodsAn anonymous web-based survey was sent to graduates of the 35 rhinology fellowship programs. The survey included questions regarding the scope of practice, research contribution, societal involvement, fellow satisfaction with training, and current practice patterns. Chi-square testing and logistic regression were used to compare variables across cohorts: 0-5 years versus 6+ y ..read more

American Journal of Rhinology &Allergy, Ahead of Print. BackgroundObtaining insurance approval is a necessary component of healthcare in the United States and denials of these claims have been estimated to result in a loss of 3% to 5% of revenue.ObjectiveExamine the trends in insurance denials for rhinological procedures.MethodsA retrospective review of deidentified financial data of patients who were treated by participating physicians across 3 institutions from January 1, 2021, to June 30, 2023. The data was queried for rhinological and non-rhinological procedures via CPT codes. Cumulati ..read more

American Journal of Rhinology &Allergy, Ahead of Print. BackgroundThe concept of “time toxicity” has emerged to address the impact of time spent in the healthcare system; however, little work has examined the phenomenon in the field of otolaryngology.ObjectiveTo validate the use of Evaluation and Management (E/M) current procedural terminology codes as a method to assess time burden and to pilot this tool to characterize the time toxicity of office visits associated with a diagnosis of pituitary adenoma between 2016 and 2019.MethodsA retrospective cohort study of outpatient office visits q ..read more

American Journal of Rhinology &Allergy, Ahead of Print ..read more

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American Journal of Rhinology &Allergy, Ahead of Print. BackgroundChronic rhinosinusitis (CRS) is one of the most common health disorders in humans and has a major impact on health-related quality of life (HRQoL). Of the many factors contributing to the etiology of CRS, less is known about the correlation between CRS and bacterial biofilms and their impact on HRQoL.ObjectiveThe aim of this prospective study was to investigate the relationship between biofilm-producing bacteria and patients' objective findings and HRQoL.MethodsForty-eight patients with CRSwNP were enrolled in a 12-month pro ..read more

American Journal of Rhinology &Allergy, Ahead of Print. BackgroundBudesonide high-volume saline irrigations (HVSIs) are routinely used to treat chronic rhinosinusitis (CRS) due to improved sinonasal delivery and efficacy compared to intranasal corticosteroid sprays. The off-label use of budesonide is assumed to be safe, with several studies suggesting the systemically absorbed dose of budesonide HVSI is low. However, the actual budesonide dose retained in the sinonasal cavity following HVSI is unknown. The objective of this study was to quantify the retained dose of budesonide after HVSI.M ..read more